Active NPI
City of Morrow
Doing business as Morrow Fire Department
- Land Ambulance
- Morrow, GA
National Provider Identifier
1891896684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 031-06
- Legal business name
- CITY OF MORROW
- Doing business as
- Morrow Fire Department
- Practice address
- 1500 Morrow Rd
Morrow, GA 30260-1654 - Phone
- (770) 961-4008
- Fax
- (770) 960-1631
- NPI assigned
- Sep 26, 2006
- Last updated
- Mar 25, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tommy Bowden
- Title
- EMS Director
- Phone
- (770) 961-4008
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 031-06 | GA | Primary |
Addresses
Primary practice location
1500 Morrow Rd
Morrow, GA 30260-1654
Mailing address
1500 Morrow Rd
Morrow, GA 30260-1654
Phone (770) 961-4008
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590007626 | Other | GA | RAILROAD MEDICARE |
| 000393522A | Medicaid | GA |
Other names 1
- Morrow Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110810000379 | GA | Part B Supplier - Ambulance Service Supplier | 3678742566 | Practice locations: Morrow, GA |
| O20210519000503 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 3678742566 | Practice locations: Morrow, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2201880 | Morrow Fire Department EMS | Certificate of waiver | Nov 23, 2026 |
National Provider Directory
National Provider DirectoryLocations
1500 Morrow Rd
Morrow, GA 30260
Phone (336) 714-9091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364169600000",
"number": "1891896684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 MORROW RD",
"city": "MORROW",
"state": "GA",
"postal_code": "302601654",
"telephone_number": "770-961-4008",
"fax_number": "770-960-1631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 MORROW RD",
"city": "MORROW",
"state": "GA",
"postal_code": "302601654",
"telephone_number": "770-961-4008",
"fax_number": "770-960-1631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF MORROW",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2013-03-25",
"status": "A",
"authorized_official_last_name": "BOWDEN",
"authorized_official_first_name": "TOMMY",
"authorized_official_title_or_position": "EMS DIRECTOR",
"authorized_official_telephone_number": "770-961-4008"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "GA",
"license": "031-06",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590007626",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000393522A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Morrow Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Morrow, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.